SNAP E&T Data Grantees

Uniform Grant Application for Non-Entitlement Discretionary Grants

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0584-0512 can be found here:

Documents and Forms

Document Name Document Type
SNAP ET DATA grants RFA FINAL DRAFT6.20.17_OMB.docx www.grants.gov Other-Request for Applications
Request to OMB to Use 0584-0512 (SNAP ET DATA Grants)PRAO recommendations 5-23-17.docx OMB Justification Memo IC Document
DATA Grant Supporting Statement - OMB Final 062017.docx Supporting Statement (SS) IC Document
Terms and Conditions - 1-7-2015 - FINAL.docx Terms and Conditions IC Document
SF424_2_1-V2.1.pdf SF 424 IC Document
SF424A-V1.0.pdf SF 424A IC Document
SF424B-V1.1.pdf SF 424B IC Document
SFLLL_1_2-V1.2.pdf SF LLL IC Document
AD_1047-V1.0.pdf AD 1047 IC Document
AD_1048-V1.0.pdf AD 1048 IC Document
AD_1049-V1.0.pdf AD 1049 IC Document
AD_1050-V1.0.pdf AD 1050 IC Document
AD_1052-V1.0.pdf AD 1052 IC Document
AD_3030_1_1-V1.1.pdf AD 3030 IC Document
SF425-V1.0 expires 2019.pdf SF 425 for Instructional Purposes IC Document
SF-425 Screenshots.pdf SF 425 Screenshot in FPRS IC Document
0584-0594 FPRS PBStatement _ExpDatDisplayed 6-30-2019.pdf FPRS Public Burden Statement for SF 425 IC Document
SF-PPR_Cover Sheet (2).pdf SF PPR (Data Elements) IC Document

Information Collection (IC) Details

IC Title:	SNAP E&T Data Grantees	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Request for Applications			SNAP ET DATA grants RFA FINAL DRAFT6.20.17_OMB.docx	www.grants.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records
Title: USDA e-Authentication Service	FR Citation: 71 FR 42346

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	65	65
Annual IC Time Burden (Hours)	664	664
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Justification Memo	Request to OMB to Use 0584-0512 (SNAP ET DATA Grants)PRAO recommendations 5-23-17.docx	05/25/2017
Supporting Statement (SS)	DATA Grant Supporting Statement - OMB Final 062017.docx	06/21/2017
Terms and Conditions	Terms and Conditions - 1-7-2015 - FINAL.docx	05/25/2017
SF 424	SF424_2_1-V2.1.pdf	05/25/2017
SF 424A	SF424A-V1.0.pdf	05/25/2017
SF 424B	SF424B-V1.1.pdf	05/25/2017
SF LLL	SFLLL_1_2-V1.2.pdf	05/25/2017
AD 1047	AD_1047-V1.0.pdf	05/25/2017
AD 1048	AD_1048-V1.0.pdf	05/25/2017
AD 1049	AD_1049-V1.0.pdf	05/25/2017
AD 1050	AD_1050-V1.0.pdf	05/25/2017
AD 1052	AD_1052-V1.0.pdf	05/25/2017
AD 3030	AD_3030_1_1-V1.1.pdf	05/25/2017
SF 425 for Instructional Purposes	SF425-V1.0 expires 2019.pdf	05/26/2017
SF 425 Screenshot in FPRS	SF-425 Screenshots.pdf	05/26/2017
FPRS Public Burden Statement for SF 425	0584-0594 FPRS PBStatement _ExpDatDisplayed 6-30-2019.pdf	05/26/2017
SF PPR (Data Elements)	SF-PPR_Cover Sheet (2).pdf	05/26/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.